MEDICARE: GEORGIA WILLIAMS-ROGERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide	CN0000063030	GA

General Provider Information

NPI Number	:	1093678930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGIA WILLIAMS-ROGERS

Provider Business Mailing Address
First Line	:	2014 MARVIN LN SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30311-4428
Country	:	US
Telephone Number	:	770-744-7485
Fax Number	:

Provider Business Practice Location Address
First Line	:	2014 MARVIN LN SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30311-4428
Country	:	US
Telephone Number	:	770-744-7485
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ GEORGIA WILLIAMS-ROGERS ” Practice Location

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